Closed in the early months of 2022 for a brief renovation, which would last only four months, the emergency room of the São Paulo Hospital, one of the main in the city of São Paulo, has been under renovation for 31 months.
By phone, HSP’s staff said there is no date for reopening yet. In a note sent to CNN the hospital’s communication states that “the works are in the final stages”, but does not mention an exact forecast for reopening of the site.
According to the hospital administration, damage to the pillars caused by termites infestation required additional intervention during the reform.
“In addition, the degradation of the old building demanded the complete reconstruction of the power, hydraulic, ceiling, floors and walls,” says the HSP note.
In Google Maps, the warning: “Closed temporarily.”
Reasons for delay
According to the hospital administration, during the reform, “damage to the pillars caused by termites infestation required additional intervention.” “In addition, the degradation of the old building demanded the complete reconstruction of the power, hydraulic, ceiling, floors and walls,” says the HSP note.
THE CNN It had access to videos from the interior of the place. There are few remnants of works, with almost the whole structure already renovated. However, there are still lack of medical machinery and staff. The HSP states that “the care processes and training of the teams for the operation of the service are underway.”
According to the reform work plan, the building that serves the São Paulo Hospital Emergency Room was built in the 1960s and there were no adaptations at any time of this inauguration. HSP’s advisory confirms that it is “the first great work being done” on site.
Also according to the work plan, the reform involves an area of 3,252 m², which corresponds to the ground floor and the first floor.
According to the document of the work, “the building facilities were inadequate and precarious” and were “in disagreement with the health unit rules.” The renovation covers electrical, hydraulic installations, medicinal gases, painting, climate control and equipment.
Previously, the flow of care of adult and children’s patients was being carried out at a single gateway, and one of the objectives of the reform is to separate care.
“Observation rooms do not have sufficient bathroom infrastructure, as required by RDC on 50/2022. Ambulance access merges with patients reception and caregivers, making it impossible for a flow of rapid and efficient care. There is also a crossing of infant and adult sectors, ”says the document.
São Paulo Hospital was founded in 1940 by the Paulista School of Medicine and is the first school hospital in Brazil. Since 2004, the institution has been certified by the Ministries of Health and Education as a Teaching Hospital of the Federal University of São Paulo (Unifesp).
Reduction in care
Daily, the hospital served more than 1,000 users in the emergency room/emergency room, according to the HSP financial and financial statement of 2022. For that same document, it is possible to compare the number of annual calls.
- 2022: 69,569 calls (year of the beginning of the reform)
- 2021: 99,053
- 2020: 124,524 calls
- 2019: 177,324 calls
- 2018: 119,824 calls (pre-covid year)
Comparing the year 2018, which precedes the COVID-19 pandemic, with 2022, the year from the beginning of the reform, the fall in care was 42%. In the first months of 2022, the emergency room worked normally. The place was closed on May 23, 2022.
State investment
A note published by UNIFESP in 2022 reported that the São Paulo State Government released R $ 8 million, on an emergency basis, for the reform.
The State Department of Health (SES) confirmed to CNN which, so far, has passed R $ 7.7 million to the institution and what amount is being released according to the work schedule of the work. Even with the change of time, the investment follows the initial planning.
In the 2022 statement, Unifesp reinforces the expectation of 4 months of renovation and recommends that “the population seeks the 24 -hour UPA closest to the residence.”
On social networks, citizens charge the return of care. A follower asks, “Doesn’t this reform end anymore?” And amendment: “It was so good … Too bad it has no more service.” Another public user: “We need to know: When will you meet the emergency room again?” And it is answered by a follower: “We look forward to knowing, since UPAs do not supply our needs.”
UPA PLATED
The closest to the São Paulo Hospital is the UPA of Vila Mariana. It’s 400 meters away. Google’s last evaluation, made two weeks before the publication of this report, is from a patient complaining: “Much delay (4 hours) for the doctor simply to give me a prescription.”
Earlier, the São Paulo Hospital emergency room received patients through both regulation and spontaneous demand. With the restructuring, the hospital will receive in a referenced manner the patients referred via SIRESP (Computerized System of Regulation of the State of São Paulo) and the CRUE (Emergency and Emergency Regulation Center).
Questioned by CNN If the UPAs will meet the demands of the population with the end of the “Open Doors” system of the São Paulo Hospital PS, the Municipal Health Secretariat (SMS) said that the UPA is able to perform up to 15 thousand care per month and currently to Its monthly average is 11,500.
HSP note in full
São Paulo Hospital (HSP/UNIFESP) clarifies that the reform of the emergency room is the first major work being done and had to be extended due to structural problems that were not foreseen in the initial project. The works are in the final phase and, when the service is reopened, will receive in a referenced manner the patients referred via SIRESP (Computerized System of Regulation of the State of São Paulo) and the CRUE (Emergency and Emergency Regulation Center), as advocated by Profile of the establishment, which meets cases of high complexity.
São Paulo Hospital is a national reference and, even with the renovation of the emergency room, continues to receive serious patients referenced by the municipal, state and vacancy zero. The other areas of the hospital complex are operating normally, having not been compromised by the works.
São Paulo Hospital (HSP/UNIFESP) reports that during the renovation, damage to the pillars caused by termites infestation required additional intervention. In addition, the degradation of the old building demanded the complete reconstruction of the power grid, hydraulic, ceiling, floors and walls. The reform was carried out by the company Build Constructions and Reforms. The care processes and training of the teams for the operation of the service are in progress.
Prior to the renovation, the emergency room received patients through both regulation and spontaneous demand. With the restructuring, the hospital will maintain care to serious referenced patients, aligned with the institution’s care profile.
The contingency room has four beds for stabilization of serious patients, with daily clinical and surgical emergency care, as well as ophthalmology and otorhinolaryngology.
The financial information of the Paulista Association for the Development of Medicine (SPDM) is published in the State Official Gazette after the balance of the balance.
SES note in full
The Secretary of State for Health (SES) informs that in 2024, more than R $ 231 million has passed to Hospital São Paulo, through agreements and resources of the SUS Paulista table. In July 2022, the folder also signed an agreement with the São Paulo Hospital for the renovation of the emergency room (PS), in the amount of R $ 8 million, which are being released according to the work schedule of the work. So far, SES has passed R $ 7.7 million.
SMS Note in full
The Municipal Health Secretariat (SMS) informs that the Vila Mariana Emergency Care Unit, which is located near the São Paulo Hospital, has the capacity to serve a larger number of patients than their current demand. The UPA is able to perform up to 15,000 calls per month and currently its monthly average is 11,500. All patients who enter the unit are evaluated according to risk classification, and the care is prioritized according to gravity. In addition to the Vila Mariana unit, the UPAs Vergueiro, Jabaquara and Vila Santa Catarina are available in the region, all with the ability to perform urgent/emergency care. Throughout the city, there are 33 UPAs today. The population can find the nearest unit through the Search Health Platform: http://buscasaude.prefeitura.sp.gov.br/.
This content was originally published in expected four months, works in emergency room of SP already last 3 years on the website CNN Brazil.
Source: CNN Brasil
I’m James Harper, a highly experienced and accomplished news writer for World Stock Market. I have been writing in the Politics section of the website for over five years, providing readers with up-to-date and insightful information about current events in politics. My work is widely read and respected by many industry professionals as well as laymen.
